NPIMap

Organization Active NPI

Boutique Acupuncture

  • Acupuncturist
  • Sacramento, CA
National Provider Identifier
1689812158
Registry record updated Apr 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
338854 Issued in CA
Legal business name
BOUTIQUE ACUPUNCTURE
Practice address
1800 Professional Dr
A
Sacramento, CA 95825-2164
Phone
(916) 473-7800
Fax
(866) 825-8597
NPI assigned
Jan 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Elizabeth Valencia
Title
Billing
Phone
(916) 473-9906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 338854 CA Primary

Addresses

Primary practice location

1800 Professional Dr
A
Sacramento, CA 95825-2164

Mailing address

1800 Professional Dr
A
Sacramento, CA 95825-2164
Phone (916) 473-7800

National Provider Directory

National Provider Directory
Tax ID family
Boutique Acupuncture2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1800 Professional Dr
Ste A
Sacramento, CA 95825
Phone (916) 473-7800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1689812158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PROFESSIONAL DR",
            "address_2": "A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252164",
            "telephone_number": "916-473-7800",
            "fax_number": "866-825-8597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PROFESSIONAL DR",
            "address_2": "A",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958252164",
            "telephone_number": "916-473-7800",
            "fax_number": "866-825-8597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOUTIQUE ACUPUNCTURE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-21",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "BILLING",
        "authorized_official_telephone_number": "916-473-9906"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "338854",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.